SUSAN M STINE MD (Credential# 156923) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.
SUSAN M STINE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013901. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1998. The expiration date is February 28, 1999. The business address is 60 Englewood Dr, New Haven, CT 06515. The current status is inactive.
| Licensee Name | SUSAN M STINE MD |
| Credential ID | 156923 |
| Credential Number | CSP.0013901 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
60 Englewood Dr New Haven CT 06515 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1998-03-01 |
| Expiration Date | 1999-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 546071 | 1.026529 | Physician/Surgeon | 1985-07-01 | 1997-08-25 - 1998-09-30 | INACTIVE |
| Street Address | 60 ENGLEWOOD DR |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eve T Johnson | 60 Englewood Dr, New Haven, CT 06515-2310 | Real Estate Salesperson | 2010-06-01 ~ 2011-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lakiya D Nichols | 114 Davis Street, New Haven, CT 06515 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Danielle E Guadalupe | 30 Whittier Road, New Haven, CT 06515 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mcdonald's | 1094 Whalley Ave, New Haven, CT 06515 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Hilda Rocio Sanango | 86 Springside Av, New Haven, CT 06515 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Manuel Francisco Cabrera | 86 Springside Av Apt D5, New Haven, CT 06515 | Nail Technician | ~ |
| Arthur L Sanders | 2001 Chapel St, New Haven, CT 06515 | Architect | 2020-08-01 ~ 2021-07-31 |
| Athan Construction LLC | 243 West Elm St, New Haven, CT 06515 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Jessica L Feinleib | 72 Barnett, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joyce A Gambrell-jones | 241 Alden Ave, New Haven, CT 06515 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Charmaine Waller | 110 Harper Ave, New Haven, CT 06515 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06515 | |||
| City | NEW HAVEN |
| Zip Code | 06515 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert J Stine Md | 8 Longmeadow Road, Kent, CT 06757 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Susan B Kohn | 232 Second Rd, Summertown, TN 38483-8019 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Park Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Susan P May | 40 Tunxis Vlg, Farmington, CT 06032-1518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan J Lee | 111 Park St Apt 14e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-09-14 ~ 2005-02-28 |
| Susan Chmael | 265 Stafford Rd, Somers, CT 06071-1238 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Samuels | 89 Pilling St, Brooklyn, NY 11207-1608 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan M Travis Aprn | 226 5th St, Verplank, NY 10596-0806 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Susan Westrup Od | 515 West Ave Apt 343, Norwalk, CT 06850-4039 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan E Mandel Md | 50 Northgate, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on SUSAN M STINE MD.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).